Prior Authorization

    Hospital and Outpatient Services

    You must get prior authorization from the Fund for certain surgical procedures, prescriptions, equipment requests and hospital services. Refer to our Provider Quick Reference Sheets or choose any of the links below to see if you need to apply for prior authorization.

    Questions? Email us at or call our Provider Services Representatives at (646) 473-7160.

    Services Requiring Prior Authorization

    To request prior authorization for one of these services, use our Forms for Providers resources.